Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.25 / $5,412.00 / $9,539.00	Facility		$1,149.25	$5,412.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,147.16	Facility		$490.00	$610.00	$1,147.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.52 / $112.52 / $112.52	Facility	AS	$112.52	$112.52	$112.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.32 / $1,144.28 / $1,660.11	Professional		$926.32	$1,144.28	$1,660.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,037.89 / $1,311.65 / $1,942.23	Facility		$1,037.89	$1,311.65	$1,942.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $230.80 / $252.20 / $406.57	Facility	80	$230.80	$252.20	$406.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $161.56 / $176.54 / $284.60	Facility	AS	$161.56	$176.54	$284.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $994.17 / $1,231.95 / $2,223.42	Facility		$994.17	$1,231.95	$2,223.42
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00